Gastonia Spine & Sport, P.a.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4142 Issued in NC

Legal business name

GASTONIA SPINE & SPORT, P.A.

Practice address

1941 Hoffman Rd Ste 6
Gastonia, NC 28054-7524

Phone

(704) 990-8266

NPI assigned

Aug 5, 2011

Last updated

Aug 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Aaron Joseph Stump, D.CNPI 1902897465

Title

Owner/President

Phone

(704) 990-8266

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Joseph Stump, D.C.

  • Sports Physician Chiropractor
  • Gastonia, NC
  • NPI 1902897465
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1730468919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550307",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280550307",
            "telephone_number": "704-990-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 HOFFMAN RD STE 6",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547524",
            "telephone_number": "704-990-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTONIA SPINE & SPORT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "704-990-8266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "4142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Gause, LCAS-A, LCSW-A
• Kimberley Gayhart
• Taylor Gazdeck

• Sports Physician Chiropractor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Sports Physician Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.